HomeMy WebLinkAbout427 E. 3rd Street Address:
427 E 3 Street
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS-
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Sternwall
Foundation Drainage/Downspouts
7ters
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling -TL4,
Drywall(interior Braced Panel OnFy)—
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pump/Furnace/FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing I Slab
Blocking&Hold Downs
ISkirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction- R.W. PW Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 12-00001101 Date 8/24/12
Application pin number . . . 746330
Property Address . . . . . . 427 E 3RD ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-5-0033-0000- REPORT SALES TAX
Application type description RES REPAIR
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . .
Application valuation . . . . 2000 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
SIDING/FOUNDATION WALL REPAIR/NEW SHED FDN
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
GRUBB, WILLIAM & TERESA GRUBB CONSTRUCTION
140 N OLYMPIC VIEW AVE 140 N OLYMPIC VIEW LN
SEQUIM WA 98382 SEQUIM WA 98382
(360) 461-4390 (360) 461-4390
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc . . SIDING/FOUNDATION REPAIR
Permit Fee . . . . 95.75 Plan Check Fee 62.24
Issue Date . . . . 8/24/12 Valuation . . . . 2000
Expiration Date 2/20/13
Qty Unit Charge Per Extension
BASE FEE 50.00
15.00 3.0500 HND BL-501-2K (3.05 PER C) 45.75
----------------------------------------------------------------------------
Other Fees . . . . . . . . . . STATE SURCHARGE 4.50
*------------
------------------------------------------------------------
Fee summary Charged Paid . Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95.75 95.75 .00 .0a
Plan Check Total 62.24 62.24 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 162.49 162.49 .00 .00
Separate Permits are required forelectrical work,SEPA,Shoreline,ESA,utilities,private and public improvements, This permit becomes
null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied With wh!ejt,�a;specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the pro��s Of at.
r o!ca!I�Iaw r
construction. "ulating construction or the perfo I rmance of
�5
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Bullding DivisionlB uil ding Permit
,PREPARED 9/11/12, 9:42:57 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/11/12
------------------------------- ----------------------------------------------------------------
ADDRESS 427 E 3RD ST SUBDIV:
CONTRACTOR : PHONE :
OWNER GRUBB, WILLIAM & TERESA PHONE : (360) 461-4390
PARCEL 06-30-00-6-5-0033-0000-
APPL NUMBER: 12-00001121 RES ADDITION
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL3 01 9/11/12 JLh_o ]BLDG FRAMING
S eptember 11, 2012 9:19:04 AM pbarthol.
Chris 461-4390
---------------
PERMIT: PL 00_PLUMBIMG_XmIT-----------------------------------------------------------------
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
PL2 01 9/11/12 PLUMBING ROUGH-IN
(t September 11, 2012 9:19:46 AM pbarthol.
--------------------- --------- COMMENTS AND NOTES --------------------------------------
THE DIV
CITY OF 1111. 1 NGELES, For City Use
P` fo- A 0
Permit # 1�k '-110t M
W A S H I N G T 0 N , U . S . C= 0
0 b-P
Date Received: M
321 East S' Street >Z
Port Angeles, WA 98362 Date Approved: 5 rn r-Z'
Mn
P: 360-417-4817 F: 360-417-4711
1
hcatuzo@cityofpa.us
Building Permit Application
Project Alldress:
40.?4
aF!), Contact, V Phone #
Y3�0
Property. Name Phone
Owner CkQ�S 10 360
Mailing Address Email
/Z/0 0—oe-1
City StMe
���J 14-4- q 3 9
Contractor Name Phone
5W;—
Mailing Address Email
city State Zip
Contractor License # 6) Expiration-
0 P-V 8 e)C' r- TI
Project Value: Zoning: Tax Parc I It Lot#
$ usoc)33
Type of Residential R Commercial 11 Industrial 11 Public 11
Permit /&i
Demolition 11 Fire Repair��r� Reroof(tear off/lay over) 13
For the following,fill out both pages of permit application:
New Construction 1:1 Remodel 1:1 Addition 0 Tenant Improvement El
Mechanical 11 Plumbing 11 Other 11
L
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes 11 No
Project
Salh 4P-
Description I
I have read and completed the application and know it to be true and correct.I am authorized to apply for this
permit and understand that it is my responsibility to determine what permits are required,and to obtain
permits prior to working on projects.I understand the plan review fee is not refundable after review has
occurred.I understand that I will forfeit 20%of the review fee if I cancel or withdraw the application before
plan review has occurred.I understand that if the permit is not issued within 180 days of receipt,the
application will be considered abandoned,and the fees forfeit.
Date PrmtName Signatur
S/114
Residential Structures
Area Description(SQ FT) Existing Proposed Minimum$ For Office Use
value
Basement
First Floor
Second Floor
Covered Deck/.P6rch/Entry
Deck
Garage
Carport
Other(describe)
rA—rea Totals
Commercial Structures
Area Description(SQ FT) Existing Proposed Minimum$ For Office Use
value
Structure(s)
Addition
Tenant Improvement
Other(describe)
Area Totals
Lot/Site Coverage Calculations
Footprint(SQ FT)of all Structures: Lot Size: %Lot Coverage
SQ FT Site coverage(all impervious+ %Site Coverage
structures)
Mechanical Fixtures
Indicate how many of each type f fixture to be installed or relocated as part of this project.
Air Handler Size: # Haz/Non-Haz Piping #of Outlets:
Appliance Vent # Heater(Suspended,Floor,Recessed wall) #
# Heating/Cooling appliance #
Boiler/Compressor repair/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fireplace/Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #.of Outlets: Ventilation Fan,single duct #
Furnace/Heat Pump/ Size: # Ventilation System #
Forced Air Unit
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps # Fuel gas piping #of Outlets:
Water Heater # Medical gas piping #of Outlets:
Water Line # Vent piping #
Sewer Line # Industrial waste pretreatment #
interceptor
Other(describe): 7-71
PREPARED 8/24/12, 9:0 5:5 5 INSPECTION TICKET PAGE is
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/24/12
--------------------------------------------------------------7---------------------------------
ADDRESS . : 427 E 3RD ST SUBDIV:
CONTRACTOR GRUBB CONSTRUCTION PHONE (360) 461-4390 r
OWNER GRUBB, WILLIAM & TERESA PHONE (360) 461-4390
PARCEL 06-30-00-6-5-0033-0000-
APPL NUMBER: 12-00001101 RES REPAIR
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--------------------------- --------------------------------------------------------------------
BL99 01 8/24/12 L —mmpr�—
A--tign-Ut-7-4, 2012 B:S8:59 AM hcatuzo.
-----CHRIS_CALL TO MEET. 4G1-4390
---------------------- ----- COMMENTS AND NOTES -----
[noo
t4v*"
IN
rim
—Construclionl1l;MS
�;Ince of this Permit Ised upon these plans,spetl-
lmd other data shn!'nN mi9vent the building official
ihereafter requiri, the corre.-�'in of errors in said
specifications d ot4er deia, or from preventing
,buildi rations ein,
carried oi-, thereunder when in
811 c Oes NQ on, --Fi�es of this jurisdiction.
y qp
Mv�
4,
INTERNATIONAL BUILDING CODE '
CONCRETE FOUNDATION WALL & FOOTING DETAIL
GOVERN
WALL THICKNESS
6"THICK FOR WALLS'UNDER 6'.HIGH
8"THICK FOR WALLS OVER 6' HIGH Y.ANCHOR BOLTS FOR I.STORY @ 72"0.C.&2-STORY @ 40"0.C.
PLACE BOLTS WITHIN 12"OF EACH PLATE END&USE 3"X3"XI/4"SQ.WASHERS UNDER NUTS
PRESSURE TREATED SILL PLATES
#4 HORIZONTAL REINFORCEMENT PLACED WITHIN 12"OF TOP OF WALL
FINISH GRADE REINFORCEMENTSCHEDULE
ANCHOR 6"MIN.TO
VERTICAL
7"MIN. UN-TREATE HEIGHT HORIZONTAL
EMBEDMENT ATERIAL' IN FEET REINFORCEMENT REINFORCEMENT
CRAWL SPACE X
*2' #4 @ 48" 0. C. (1) #4 TOP BAR
VERTICAL REINFORCEMENT MIN.FOOTING
BEND=12 X BAR DIA, DEPTH *2'TO 4' #4.@ 48" 0. C. #4 @ 24" 0. C.
BELOW
#4 BAR 6"SEND GRADE INTO *4'TO LESS #4 @ 24" 0. C.1 #4 @ 18" 0. C.
UNDISTURBED THAN 6'
SOIL
rtu" . .
14 12"I-STORY
B"2-STORY
3" CLEARAN E ENGINEERS ANALYSIS WITH
Tatter STAMPED&SIGNED PLAN REQUIRED
BENT VERTICAL REINFORCE ENT VERTICAL REINFORCEMENT MUST BE BENT&TIED TO FOOTING REINFORCEMENT.
TIED IN PLACE TO HORIZONTAV
REINFORCEMENT -A '1#4 REINFORCEMENT
FOOTING WIDTH FOOTING THICKNESS
12"1-STORY 1-STORY 6"
15"2-STORY 2-STORYi&"
23"3-STORY 3-STORY 8 112"
MONOLITHIC CONCRETE'FOUNDATION DETAIL
NO SCALE 1/2"ANCHOR BOLTS(SAME AS ABOVE)
PRESSURE TREATED SILL PLATES
#4 REINFORCEMENT 1-PIECE CONTINUOUS
'§L—AS
-AkHOR
6"MIN.TO
3 1/2" AT'MIN. fp��,
li- UN-TREATED
MATERIAL'
ti
P, .
FINISH GRADE
T,
MIN.FOOTING
9TDEPTH BELOW
GRADE INTO
= UNDISTURBED
v SOIL
12"I-STORY
18"2-STORY
3" CLEARANCE
E-EQDTING V,11DTH REINFORCCEMENT
12"1-STORY
15"2-STORY
23"3-STORY
T'. (l H o)J
Clallam County Assessor& Treasurer- Property Details - 62227 WILLIAM AND TERE... Page I of I
Clallarn County Assessor & Treasurer
Property Search Results > 62227 WILLIAM AND TERESA GRUBB for Year 2011 -2012
Property
Account
Property ID: 62227 Legal Description: LOT 16 BL 57
LEIGHTON'S
SUBDIVISION
Geographic ID: 0630006500330000 Agent Code:
Type: Real
Tax Area: 0010-PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi-Family Redevelopment: N
Township: Section:
Range:
Location
Address: 427 E THIRD ST Mapsco:
PORT ANGELES,WA 98362
Neighborhood: PA East Res MapID: 2
Neighborhood CD: 5001000
Owner
Name: WILLIAM AND TERESA GRUBB Owner ID: 28045
Mailing Address: 140 N OLYMPIC VIEW AVE %Ownership: 100.0000000000%
SEQUIM,WA 98382-9583
Exemptions:
Taxes and Assessment Details
Values
.!xing Jurisdiction
rit/Building
Property image
fland
Roll Value History
ales History
Payout Agreement
Website version:9.0.32.2200 Database last updated on:8/24/2012 3:52 @ 2012 True Automation, Inc.All Rights
AM Reserved. Privacy Notice
http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=O&year--2011&prop_id=62227 8/24/2012
Contractors or Tradespeople Printer Friendly Page Page 1 of 1
General/Specialty Contractor
A business registered as a construction contractor with I-Etl to perform construction work within the scope
of its specialty. A General.or Specialty construction Contractor must maintain a surety bond or assignment
of account and carry general liability insurance.
Business and Licensing Information
Name GRUBB CONSTRUCTION LIBI No. 602092395
Phone 3605829436 Status Active
Address 140 N Olympic View License No. GRUBBC*910131
Suite/Apt. License Type Construction Contractor
City Sequim Effective Date 1/21/2009
State WA Expiration Date 1/25/2013
Zip 98382 Suspend Date
County Clattam Specialty 1 General
Business Type Individual Specialty 2 Unused
Parent Company
Business Owner Information
Name Role Effective Date Expiration Date
IGRUBB, WILLIAM CHRISTOPHER jOwner 101/21/2009 1
Bond Information
Bond Bond Account Effective Expiration Cancel Impaired Bond Received
Bond Company Number Date Date Date Date Amount Date
Name
1 CBIC S11642 01/21/2009 Until $12,000.00 01/21/2009
Cancelled
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance Company Policy Number Effective Expiration Cancel Impaired Amount Received
Name Date Date Date Date Date
AMERICAN
3 SAFETY 156AU16018200 01/20/2011 01/20/2013 $1,000,000.00 01/19/2012
INDEMNITY
CO
AMERICAN
2 SAFETY 156Au1601820001/20/2010 01/20/2011 $1,000,000.00 01/20/2010
INDEMNITY
CO
UNITED
1 SPECIALTY OS100297 01/21/2009 01/21/2010 $1,000,000.00 01/21 2009
INS CO
Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
https:Hfortress.wa.gov/lni/bbip/Print.aspx 8/24/2012
Address:
427 E 3rd Street
PREPARED 5/15/17, 8:55:54 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/15/17
------------------------------------------------------------------------------------------------
ADDRESS . : 427 E 3RD ST SUBDIV:
CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939
OWNER DUANE E BENNETT PHONE (360) 808-3740
PARCEL 06-30-00-6-5-0033-0000-
APPL NUMBER: 17-00000278 RES MECHANICAL PERMIT
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME99 01 5/15/17 L MECHANICAL FINAL
may 15, 2017 8:42:14 AM jlierly.
DHP
---------------------------\---------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
cr 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 17-00000278 Date 3/15/17
Application pin number . . . 367086
Property Address . . . . . . 427 E 3RD ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-6-5�0033-0000-
Application type description RES MECHANICAL PERMIT on your state excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . (Location Code 0502)
Application valuation . . . . 3975
----------------------------------------------------------------------------
Application desc
DUCTLESS HEAT PUMP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
DUANE E BENNETT DAVE'S HTG & COOLING SRVC INC
PO BOX 1748 PO BOX 413
SEQUIM WA 98382 PORT ANGELES WA 98362
(360) 808-3740 (3GO) 452-0939
------ - - - - - - ---------- ------
Permit MECHANICAL PERMIT
Additional desc DHP
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 3/15/17 Valuation . . . . 0
Expiration Date 9/11/17
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
k4j -----------------------------------------------------------------------------
Special Notes and Comments
Per Washington State Code 51-51-315,
installation of Carbon Monoxide
detector(s) is required if you are
installing or replacing a fuel burning
appliance (wood, pellet, gas)and must be
in place prior to the final inspection
of this permit. They are required to be
place directly outside of each sleeping
area and at least one on each floor of
the house.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .00 .00
Separate Permits are required forelectrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the p .sions of any st e o local law regulating construction or the performance of
construction.
0
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
- PLEASE PROVIDEA MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Sternwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall(Interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pump/Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
ISkirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting ESA:
Landscaping EiSHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction - R.W. PW /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
03/06/2017 2:42PM FAX 3GO452437G DAVES HEATING COOLING 160001/0001
T H F_
'T
CITY OF R �GEH For City Use
PIP
A' Permit# 0-,7
W A S H I N G T 0 N . U _ S ,
Date Received.,
321 East 51h Street
Port Angeles,WA 98362 Date Approved
P: 360-417-4817 F: 360-417-4711
perrnits@)city;ofpa.us
Building Permit Application
_�iolect Address:
Main Contact: Pbone #
E-Mail:
Property Nante Phone
Owner
2-7 -74 �4 -S-�
city State
Contractor
7�V4efS Pfe_a_7'h h
,I- C06
MaUJ9gAddrejrj% Einad
D
city
Contractor License# I K FxPiratio
1 17
Project Valu Zoning. ax Parcel# Lot#
$I
Type of Residential 18 commercial 13 Industrial M Public [3
Permit Demolition 0 Fire D Repair 13 Reroof(tear off/lay over)
For the followin&fill out both pages of permit application:
New Construction C3 Remodel 11 Addition 13 Tenant Improvement
Mbdianical E3 Plumbing 0 Other 13
Existing Fire Sprinkler System? height of strutrure Proposed Bt roposed Bathrooms
Yes 13 No L3___
Project
Description
-5aivi read and completed the application and lmow it to be true and correct.I am authorized to apply for this
permit. I understand that it is my responsibility to determine what permits are required and to obtain permits
prior to working on projects. I understand that the plan review fee is not refundable after plan review has
occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the
permit is issued. I understand that if the permit is not issued within 180 days-of receipt,the application will be
considered abandoned and the fees forfeit.
Date Print Name Signature
3 21
Address:
427 E V Street
PREPARED 12/19/16, 13:35:56 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/19/16
------------------------------------------------------------------------------------------------
ADDRESS . : 427 E 3RD ST SUBDIV:
CONTRACTOR SEARS HOME IMPROVEMENT PROD IN PHONE (206) 834-1713
OWNER DUANE E BENNETT PHONE (360) 808-3740
PARCEL 06-30-00-6-5-0033-0000-
APPL NUMBER: 16-00001829 RE-ROOF
------------------------------------------------------------------------------------------------
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------=-----------------------------------------------------------------------------------------
BL99 01 12/19/16 BLDG FINAL
.1 -AF;;Lr December 19, 2016 9:07:51 AM jlierly.
Larua 206-834-1713
-------------------------------------- COMMENTS AND NOTES ---------- ---------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
to 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 16-00001829 Date 12/13/16
Application pin number . . . 605022
Property Address . . . . . . 427 E 3RD ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-5-0033-0000- REPORT SALES TAX
Application type description RE-ROOF on your state excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property zoning . . . . . . . (Location Code 0502)
Application valuation . . . . 7082
----------------------------------------------------------------------------
Application desc
RES TEAR OFF/INSTALL COMP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
DUANE E BENNETT SEARS HOME IMPROVEMENT PROD IN
PO BOX 1748 1024 FLORIDA CENTRAL PKWY
SEQUIM WA 98382 LONGWOOD FL 32750
(360) 808-3740 (206) 834-1713
-----Permit--.-.-.-.-.-.--BUILDING-PERMIT---NO-PR-FEE-----------------------
Additional desc TEAR OFF/INSTALL COMP
�4 Permit Fee . . . . 179.75 Plan Check Fee .00
Issue Date . . . . 12/13/16 Valuation . . . . 7082
Expiration Date 6/11/17
Qty Unit Charge Per Extension
BASE FEE 95.75
6.00 14.0000 THOU BL-2001-25K (14 PER K) 84.00
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.SO
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 179.75 179.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 184.25 184.25 .00 .00
'Q�
Separate Permits are required forelectrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
C
Date Pr nt Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
4Z T-0 I
frorms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
— PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspec tion Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water
TIR SEAL:
Walls
Ceiling
FRAMING:
Joists I Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall(interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
TFe—ai Pump/Furnace I FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet I Chimney
Commercial Hood/Ducts
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
ISkirting
PLANNING DEPT. Separate Permit#s ISEPA:
Parking/Lighting ESA:
Landscaping ]SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction- R.W. PW /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
For Cfty Use
THE
F
CrrYOT a4vg" Permit#
a - -- . - -
W A S H I N 0 T 0 N. U. 6- Date Received- 47
Date Approved
321 E Sth Street
port Angeles,WA 9836
P-360-417-4817 F,360-417-4711
Email,2eOW150-C&O ]BUILDING PERMIT APPLICATION
Project Address: Phone:
2
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Primary Con t: Email:I MA MW
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Property Mailing AdeT:: -
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Owner
le4,- 1;7�1,q city I 11pq
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Contractor Addr
lkwu Pro-I",
Information Ci state Lip
ty P .
gxp.Datet
7—ontra
cter U en #
rcel# t Value:(maten I nd labor)
Legal Description: Zoning; Tax Pa Projec a(Lu
$ 3LIN
Residential Commercial 0 Industrial 0 Pubijc El
Jay over)
Permit Demolition 11 Fire [3 Repair E3 Reroof(tear off/
Classification Fo]E thg follomdog,fill Out oth paores of permit aggligadon:
rovement C3
(check NewConstructioln Exterior Remodel 13 Addition 13 TenantImp
appropriate) Mechanical 0 plumbing 0 OthereMl
Fire Sprinkler System Proposed I irrigation System Proposed or Proposed Bathrmoom Proposed Bedrooms
or Eidsting? Yes E3 No )@I Existing? Yes 0 No�r-- T (VD �7 fNZ
In addition to standard hard copy submittals please send a PDF copy of all Storinwater plans and Engineering to
Project DeSCriPtion (\O XJD A.-eo'A'—CU
V-Al
Is project in a Flood Zone: Yes 13 No ood Zone Type:
E"
If in a Flood Zone,what is the value of the stnlcture before proposed improvement?
a correct.I am authorized to apply for
I have read and completed the application an know it to be true and ar r edandto
this permit and understand that it is my responsi0ity to determine what permits e equir
obtain permits prior to work. I understand that plan review fees are not refundable afterreview has
occurred, I understand that I will forfeit review fees if I withdraw the application before the permit is
issued. I understand that if the permit�s not picked up/issued within x8o days of submittal,the application
will be considered abandoned and the fees willbe forfeited.
"4y\
na e
Date Print Name SiLm----
Residential Structures
Existing proposed Construction For Office Use
Area Descriptions(SQ FT) Floor area Floor area $value
Rasement
First Floor
Second Floor
Covered Deck/Porch/Entry -7Z--
Deck(over or e fl`600
Garage
Carport-
Other(describe)
Area Totals
Commercial Stv6c res
Area Descriptions(SQ FT) Existing Propo d Construction For Office Use
Floor area Floo, rea S Value ngN area
Existing Structure(s)
Proposed Addition
Tenant Improvement?
other work(describe)
Site Area Totals
LotAlte Coverage Calculations
tal lot cov+lot size) Max Bldg Height
Lot j17Lze(sq ft) I Lot Coverage(sq ft)foot nt of %]Lot Coverage(To
all structures sq ft %of Site Coverage(total site cov+lot size)
Site Coverage(Sq Ft of all imperViOus)
i�! Mechanical Fixtures
Indicate how many of each c elf fixture to be installed or relocated as part of this project.
Air Handler I Size: / I # Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wan)
Boiler/Compressor Size 0 Heating/Cooling appliance
repair/gteration
Pellet Stove/Wood-burning/Gas #
Evaporative Cooler(attacbe�,not 0 Fireplace/Gas Stove/Gas Cook Stove/Misc.
portable) Ventilation Fan,single duct
Fuel Gas Piping #of Outlets.
FurnacelHeat top/ Size: # ion System #
Forced Air Unit A
Plumbing Fixtures
indicate how many 6f each type of fim e to be in led or relocated #
Plumbing Traps # Water Heater
Plumbing Vent pipft # Medical gas piping #of Outlets,
Water Line # Fuel ps piping #of aittlets:
Sewer Line IF-, industrial waste pretreatment Size
1 Int-rceptor(Grease Trae)
other(describe):
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THF_ For City Use
Crry OF
Permit#
N T 0 N, V. S. Date Received:
321 E Sth Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:Vermitfig2c, 0,2MA.
BUILDING PE T APAPXATION
Pro ect A,26ress: A
UF-�-
hone:
P i 4r
P m ontac
ri ag C
Phone [(::H
Property MailingAddress Tmail
OWner
city state T"i-p-_
Nam 11'h?W0S34"' t+/(_�
Contractor AdJre mail
WD n.Am� f a 1-
Information -city=i stat g(pil G!Sn""xi) '_(c M
k-OMLOCOcIA i ZIP
rConmetor Lic"e'nse* CW LAlk- 4 Op'loate.
Legal Description: Zoning; Tax prie"AU e: te�da&and labor)
Residential C'C I nruner4ial/ao' ljd&st#aJ0e13 Public 0
Permit Demolition 0 Fird E3 kAepair �T' ReAbof(tear io /1aY*8Y"",er) [3
IV-PM I
Classification Eorthefbilowing.Ml —1th-Wah -
(check New Construction. 13 xterior R'�'A'o&l A i on 0 nant Improvement 13
aPP"GPr!0W Me 410�
.ChanjCal [3 pl A-, rJ Od
Fire Sprinkler System Proposed ] Irrigation"em Propose or Propo=sed4rathr ir] Prol A;Bedrooms
posey
or Existing? Yes L3 No !Srj Exi;ting? 16 0 No I.
in addition to standard hard copy submittals pWa—si send a PDF cop T-Sf ormwater plana and neering to
WWW. torMWaxer1&gq2&=a=U_s
Pr2ject Description Z
,Is project in a Flood Zone: Yes [3 N910 Flood Zone Type:
If in.a Flood Zone,what is the value of the structure before proposed improvement? $
1 have read and completed the application and know it to be true and correct. I am authorized to apply for
this permit and understand that it is my responsibility to determine what permits are required and to
obtain permits prior to work. I understand that plan,review fees are not refundable after review has
occurred. I undemand that I willforfeit review fees if I withdraw the application before the pennit is
issued. I understand thatif the permit is not picked up/issued within-t8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
Date Print Name ignature
Si ature
7-
Residential Structures
Existing Pio-posed Construction For Office Use
Area Descriptions(SQ Floor area Floor area $Value U_qXarea
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 3o"or2"'floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Strupfures
Area Descriptions(SQ FT) Existing Proposev Construction For Office Use
Floor area Floor-a
Existing Structure(s) /P6 S Value new area
ProposedAddition
Tenant Improvement?
Other work(describe)
Site Area Totals
L0tfi4/itejCovera_ e Calc'ulations
Lot Size(sq ft) Lot Coverage(sq ft)foo nt of %Lot Coverage(Total lot cov+lot size) Max Bldg Height
I all structures 1jr so ft
Site Coverage(Sq Ft -of all imperviousY %of Site Coverage(total site cov-L lot size)
Mechanical Fixtures
Indicate how many of each typeAf fi9xiiairet-to be instaRed or relocated as I!art of this project.
Air Handler Size: # HazNon-Haz Piping Outlets:
Appliance Exhaust Pan Heater(Suspended,Floor,Recessed wa-U) #
Boiler/Compressor Heating/Cooling appliance
1 Y: repair/alteration
Evaporative Cooler(attac not # Pellet Stove/Wood-burning/Gas,
portable) FirepJace/Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct
Furnace/Heat Pump/ Size: # Ventilation System #
Forced Air Unit J-
Plumbing Fixtures
Indicate how tq�n�of each"e of fixture to be installed or relocated
Plumbing Traps # Water Heater #
Plumbing Vent piping # Medical gas piping #of Outlets:
Water Line 4 Fuel gas piping #of Outlets:
Sewer Line # Industrial w2ste pretreatment
Interceetor(Grease Trap) Size
Other(describe):
T-.\Fonns\2015 CED Form UpdatesN80ding&Permitflng�BP\Bufldft PermIt 20150415.doex